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Superficial Fascia

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https://read.qxmd.com/read/30747277/a-comparative-study-comparing-area-of-extension-of-posterior-knee-capsule-via-posteromedial-injection-a-cadaveric-study
#1
Chatnarong Tubtim, Pat Laupattarakasem, Wiroon Laupattarakasem, Kowit Chaisiwamongkol
BACKGROUND: Periarticular multimodal drug injection (PMDI) has gained popularity as common postoperative pain protocols in knee arthroplasty. PMDI sites can vary, but posterior capsule (PC) is a common injection site because of its abundance of pain nociceptors. PURPOSE: To prove the hypothesis whether posteromedial drug injection alone is sufficient to provide enough effect covering the PC in order to reduce risks of neurovascular injury. Secondary outcomes are to find proper volume of injection and safe zone for PMDI injection...
February 12, 2019: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://read.qxmd.com/read/30745127/use-of-standard-musculoskeletal-ultrasound-to-determine-the-need-for-fasciotomy-in-an-elevated-muscle-compartment-pressure-cadaver-leg-model
#2
Meir Marmor, Jonathan Charlu, Riley Knox, William Curtis, Paul Hoogervorst, Safa Herfat
INTRODUCTION: Acute compartment syndrome (ACS) is a limb-threatening condition often associated with leg injury. The only treatment of ACS is fasciotomy with the purpose of reducing muscle compartment pressures (MCP). Patient discomfort and low reliability of invasive MCP measurements, has led to the search for alternative methods. Our goal was to test the feasibility of using ultrasound to diagnose elevated MCP. METHODS: A cadaver model of elevated MCPs was used in 6 cadaver legs...
January 14, 2019: Injury
https://read.qxmd.com/read/30701608/what-is-a-tongue-tie-defining-the-anatomy-of-the-in-situ-lingual-frenulum
#3
Nikki Mills, Seth M Pransky, Donna T Geddes, S Ali Mirjalili
INTRODUCTION: Surgical release of the lingual frenulum (frenotomy) has become an increasingly common procedure, performed from birth through to adulthood. Surprisingly, detailed anatomy of the in-situ lingual frenulum has never been described, and no anatomical basis has been proposed for the individual variability in frenulum morphology. The lingual frenulum is frequently referred to as a "cord" or "submucosal band" of connective tissue, yet there is no evidence to support this anatomical construct...
January 30, 2019: Clinical Anatomy
https://read.qxmd.com/read/30701597/muscle-architecture-of-vastus-medialis-obliquus-and-longus-and-its-functional-implications-a-three-dimensional-investigation
#4
Valera Castanov, S Ahmed Hassan, Shayan Shakeri, Maxine Vienneau, Karl Zabjek, Denyse Richardson, Nancy H McKee, Anne M R Agur
INTRODUCTION: Vastus medialis (VM) has two partitions, longus (VML) and obliquus (VMO), which have been implicated in knee pathologies. However, muscle architecture of VMO and VML has not been documented volumetrically. The aims of this study were to determine and compare the muscle architecture of VMO and VML in three-dimensional (3D) space, and to elucidate their relative functional capabilities. MATERIALS AND METHODS: Twelve embalmed specimens were used in this study...
January 30, 2019: Clinical Anatomy
https://read.qxmd.com/read/30698919/anatomy-of-the-facial-fat-compartments-and-their-relevance-in-aesthetic-surgery
#5
REVIEW
Sebastian Cotofana, Nirusha Lachman
OBJECTIVE: There has been a significant shift in the understanding of facial anatomy during the last decade. Newer minimally invasive therapeutic options for facial rejuvenation procedures are increasing the need for a better knowledge of anatomy. MATERIAL AND METHODS: The current literature is summarized, analyzed and presented along with the experience of the author for this narrative review, which summarizes the current understanding of the superficial and deep facial fat compartments and their relevance for minimally invasive facial procedures...
January 30, 2019: Journal der Deutschen Dermatologischen Gesellschaft, Journal of the German Society of Dermatology: JDDG
https://read.qxmd.com/read/30678403/-effects-of-free-superficial-temporal-fascia-flaps-and-skin-grafts-in-repairing-deep-wounds-in-posterior-ankle-region-of-extensively-burned-patients
#6
X K Yang, Q H Chen, Y Zhang, Z Q Li, K Tao, J T Han, D H Hu
Objective: To observe the effects of the method of combining free superficial temporal fascia flaps with skin grafts in repairing deep wounds in posterior ankle region of extensively burned patients. Methods: From September 2013 to February 2017, 11 extensively burned patients with deep tissue defects in posterior ankle region were treated in our unit. Two patients had tissue defects in bilateral posterior ankle regions. The wound sizes ranged from 5.8 cm×4.6 cm to 11.7 cm×5.2 cm. Free superficial temporal fascia flaps with the same sizes as the wounds were designed and resected to repair wounds in posterior ankle regions after debridement...
January 20, 2019: Zhonghua Shao Shang za Zhi, Zhonghua Shaoshang Zazhi, Chinese Journal of Burns
https://read.qxmd.com/read/30672005/reconstruction-of-complex-soft-tissue-defects-including-tendons-with-anterolateral-thigh-flap-extended-to-fascia-lata-long-term-recovery-and-functional-outcomes
#7
Pietro G di Summa, Gianluca Sapino, Mario Cherubino, Giorgio De Santis, Sebastien Durand, Patrice Zaugg, Olivier Bauquis, Wassim Raffoul
BACKGROUND: We evaluated composite anterolateral thigh (ALT) flaps including vascularized fascia lata (FL), for stable soft tissue coverage and tendons restoration at various joint levels in a one-stage procedure. METHODS: We performed a retrospective investigation including 21 "functional" ALT flaps between November 2006 and December 2016. In all patients included, FL was shaped to anatomical reproduce a tendon structure. Functional analysis included range of motion and force assessment...
January 22, 2019: Microsurgery
https://read.qxmd.com/read/30665823/the-clinical-outcome-of-endoscopic-plantar-fascia-release-a-current-concept-review
#8
REVIEW
Michael-Alexander Malahias, Erwin Brian Cantiller, Vikram V Kadu, Sebastian Müller
PURPOSE: To clarify whether endoscopic plantar fascia release is safe and effective in the treatment of chronic plantar fasciitis. Secondary goals were a. to compare the clinical outcome between EPFR and non-operative treatment and b. to describe the various EPFR surgical approaches and their outcomes. MATERIALS AND METHODS: Two reviewers (MM and EBC) independently conducted the search using the MEDLINE/PubMed database. This database was queried with the terms 'endoscopic plantar fascia release' and 'endoscopic plantar fasciotomy'...
December 23, 2018: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
https://read.qxmd.com/read/30647785/the-effect-of-fibroblast-growth-factors-in-grafted-fascia-into-the-vocal-fold-of-rabbits
#9
Eduardo G B Carvalho, Almiro J Machado-Júnior, Henrique F Pauna, Ester M D Nicola, Albina M A M Altemani, Agricio N Crespo
Introduction  The human larynx is a very important organ for communication. Many conditions lead to scarring of the vocal folds, decreasing voice quality. Objective  We aimed to determine whether fibroblast growth factors (FGFs) may influence tissue integration of grafted fascia into the vocal folds of an animal model. Methods  This is an experimental animal study with 12 adult rabbits that were submitted to a grafting fragment obtained from superficial cervical fascia into the vocal fold lamina propria, bilaterally...
January 2019: International Archives of Otorhinolaryngology
https://read.qxmd.com/read/30640771/changes-in-the-layers-of-the-temple-during-pinch-manipulation-implications-for-thread-lifting
#10
Seung Min Oh, Bong Cheol Kim, Wonsug Jung
BACKGROUND: During minimally invasive aesthetic procedures, the skin is often pinched to facilitate filler injection or thread insertion into the desired layer. However, little is known about changes in the facial layers during pinch manipulation. OBJECTIVE: To determine which layer of the temple is lifted during pinching and whether the artery and the nerve are affected by pinching. MATERIALS AND METHODS: At 11 sites on 3 fresh Korean cadavers, the skin of the temple was pinched gently or deeply, and the skin pulled up was cut at the bottom...
January 11, 2019: Dermatologic Surgery: Official Publication for American Society for Dermatologic Surgery [et Al.]
https://read.qxmd.com/read/30636109/the-diagnostic-performance-of-ultrasonography-and-computed-tomography-in-differentiating-superficial-from-deep-lobe-parotid-tumors
#11
Ping-Chia Cheng, Chih-Ming Chang, Chun-Chieh Huang, Wu-Chia Lo, Tsung-Wei Huang, Po-Wen Cheng, Li-Jen Liao
OBJECTIVES: To validate and compare ultrasound (US) versus computed tomography (CT) criteria in the localization of superficial/deep lobe tumors of the parotid gland. DESIGN AND SETTING: This was a retrospective study of diagnostic tests performed from January 2008 to June 2017. PARTICIPANTS: We included adult patients who were referred for a neck ultrasonography examination due to parotid tumors, and who subsequently underwent parotid surgery...
January 12, 2019: Clinical Otolaryngology
https://read.qxmd.com/read/30630296/anomalous-muscles-of-the-wrist-encountered-during-endoscopic-carpal-tunnel-surgery
#12
Se-Hyuck Park
OBJECTIVE: Anomalous muscles of the wrist are infrequently encountered during carpal tunnel surgery. Anatomic variants of the palmaris longus (PL), flexor digitorum superficialis, lumbricalis and abductor digiti minimi (ADM) have been reported but are usually clinically insignificant. Anomalies of the wrist muscles, encountered during endoscopic carpal tunnel surgery have rarely been described. I conducted this study to evaluate muscular anomalies of the volar aspect of the wrist, encountered during endoscopic carpal tunnel surgery...
January 2019: Journal of Korean Neurosurgical Society
https://read.qxmd.com/read/30614065/malignant-solitary-fibrous-tumor-in-the-subcutis-report-of-a-rare-superficial-malignant-type-and-review-of-published-work
#13
Takahiro Kiyohara, Hirotsugu Tanimura, Haruka Takewaki, Kenji Suzuki
An 82-year-old Japanese man presented with a 90 mm × 80 mm subcutaneous nodule on the left chest, not connected to the pleura, described as hypointense on T1 -weighted magnetic resonance imaging. Histologically, a well-demarcated nodule demonstrated a patternless pattern composed of hemangiopericytoma-like and short storiform patterns from the subcutis into deeper tissue. Antler-like branching blood vessels and keloidal-type collagen bundles were seen. Myxoid change was seen in hypocellular areas. Bizarre cells and multinucleated giant cells could be easily identified...
January 4, 2019: Journal of Dermatology
https://read.qxmd.com/read/30613089/a-giant-trichoblastic-carcinoma
#14
Joon Seok Lee, Joon Hyun Kwon, Gyu Sik Jung, Jeong Woo Lee, Jung Dug Yang, Ho Yun Chung, Byung Chae Cho, Kang Young Choi
Trichoblastic carcinoma usually occurs as a malignant transformation of the trichoblastoma, but is very rare. A 25-year-old man was admitted with trichoblastoma in the nuchal area with frequent recurrences since birth. The preoperative neck magnetic resonance image revealed lobulated soft tissue lesions involving superficial fascia and infiltrating into both proximal trapezius muscles. In our department, wide excision and reconstruction with a free anterolateral thigh flap were performed. Histological examination revealed skin adnexal carcinoma, originating from the hair follicles, consistent with trichoblastic carcinoma...
December 2018: Archives of Craniofacial Surgery
https://read.qxmd.com/read/30569678/-application-of-meshy-fascia-encapsulating-cancellous-bone-graft-in-repair-of-bone-defect-after-limb-fractures
#15
Zihong Zhou, Jijun Zhao, Dehong Feng, Zhaofeng Wu, Yu Liu
Objective: To investigate the effectiveness of meshy fascia encapsulating cancellous bone graft in repair of bone defect after limb fractures. Methods: A clinical data of 21 cases of traumatic bone defect after limb fractures, who were treated with meshy fascia encapsulating cancellous bone graft between June 2011 and December 2016, was retrospectively analyzed. There were 13 males and 8 females, aged 14-64 years with an average of 40.1 years. The location of bone defect included humerus in 3 cases, radius in 5 cases, ulna in 4 cases, femur in 2 cases, and tibia in 7 cases...
December 1, 2018: Chinese Journal of Reparative and Reconstructive Surgery
https://read.qxmd.com/read/30564282/2018-wses-sis-e-consensus-conference-recommendations-for-the-management-of-skin-and-soft-tissue-infections
#16
REVIEW
Massimo Sartelli, Xavier Guirao, Timothy C Hardcastle, Yoram Kluger, Marja A Boermeester, Kemal Raşa, Luca Ansaloni, Federico Coccolini, Philippe Montravers, Fikri M Abu-Zidan, Michele Bartoletti, Matteo Bassetti, Offir Ben-Ishay, Walter L Biffl, Osvaldo Chiara, Massimo Chiarugi, Raul Coimbra, Francesco Giuseppe De Rosa, Belinda De Simone, Salomone Di Saverio, Maddalena Giannella, George Gkiokas, Vladimir Khokha, Francesco M Labricciosa, Ari Leppäniemi, Andrey Litvin, Ernest E Moore, Ionut Negoi, Leonardo Pagani, Maddalena Peghin, Edoardo Picetti, Tadeja Pintar, Guntars Pupelis, Ines Rubio-Perez, Boris Sakakushev, Helmut Segovia-Lohse, Gabriele Sganga, Vishal Shelat, Michael Sugrue, Antonio Tarasconi, Cristian Tranà, Jan Ulrych, Pierluigi Viale, Fausto Catena
Skin and soft-tissue infections (SSTIs) encompass a variety of pathological conditions that involve the skin and underlying subcutaneous tissue, fascia, or muscle, ranging from simple superficial infections to severe necrotizing infections. SSTIs are a frequent clinical problem in surgical departments. In order to clarify key issues in the management of SSTIs, a task force of experts met in Bertinoro, Italy, on June 28, 2018, for a specialist multidisciplinary consensus conference under the auspices of the World Society of Emergency Surgery (WSES) and the Surgical Infection Society Europe (SIS-E)...
2018: World Journal of Emergency Surgery: WJES
https://read.qxmd.com/read/30555141/a-case-of-necrotizing-fasciitis-caused-by-finegoldia-magna-in-a-patient-with-type-2-diabetes-mellitus
#17
Margherita Scapaticci, Sabina Marchetto, Andrea Nardi, Maira Zoppelletto, Andrea Bartolini
Diabetes mellitus is one of the serious conditions associated with necrotizing fasciitis, a severe bacterial skin infection that spreads quickly and is characterized by extensive necrosis of the deep and superficial fascia resulting in devascularization and necrosis of the associated tissues. In addition to debridement and aggressive surgery procedures, the effectiveness of therapy depends on choosing the appropriate antibacterial agents. Hence the key to successful management is an early and accurate diagnosis...
December 1, 2018: Le Infezioni in Medicina
https://read.qxmd.com/read/30536834/identifying-the-emergence-of-the-superficial-peroneal-nerve-through-deep-fascia-on-ultrasound-and-by-dissection-implications-for-regional-anaesthesia-in-foot-and-ankle-surgery
#18
James Bowness, Katie Turnbull, Alasdair Taylor, Jayne Halcrow, Fraser Chisholm, Calum Grant, Ourania Varsou
Regional anesthesia relies on a sound understanding of anatomy and the utility of ultrasound in identifying relevant structures. We assessed the ability to identify the point at which the superficial peroneal nerve (SPN) emerges through the deep fascia by ultrasound on 26 volunteers (mean age 27.85 years ±13.186; equal male:female). This point was identified, characterized in relation to surrounding bony landmarks (lateral malleolus and head of the fibula), and compared to data from 16 formalin-fixed human cadavers (mean age 82...
December 10, 2018: Clinical Anatomy
https://read.qxmd.com/read/30527055/simultaneous-suprapubic-lipectomy-and-penile-prosthesis-implantation
#19
Osama Shaeer, Kamal Shaeer, Islam Fathi AbdelRahman
INTRODUCTION: A shorter penis is a frequent complaint following penile prosthesis implantation (PPI), and a large redundant suprapubic fat pad can conceal the penis and possibly compromise patient and partner satisfaction with length. AIM: To evaluate feasibility and outcome of same-session, same-incision, PPI and suprapubic lipectomy (SPL). METHODS: In 22 patients, SPL was performed through an abdominal crease incision. Through the same incision, the superficial perineal pouch was opened to gain access to the base of the penis...
December 2018: Journal of Sexual Medicine
https://read.qxmd.com/read/30511967/anatomy-of-the-superficial-fascia-system-of-the-breast-a-comprehensive-theory-of-breast-fascial-anatomy
#20
Robert D Rehnke, Rachel M Groening, Eric R Van Buskirk, John M Clarke
BACKGROUND: It has been two centuries since Petrus Camper identified superficial fascia and over 175 years since Sir Astley Cooper wrote his book on the anatomy of the breast. In the 1990s, Ted Lockwood taught us the importance of the superficial fascia layers in body contouring procedures he pioneered. These descriptions, however, fail to explain the three-dimensional fascial system in the breast. The authors set out to discover and describe a theory of superficial fascia structures responsible for breast shape...
November 2018: Plastic and Reconstructive Surgery
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